person
Mr. William Aage Nelson
Mental Illness Community Based Residential Treatment Facility in St Petersburg, Florida
NPI 1699933085

William Aage Nelson is a Mental Illness Community Based Residential Treatment Facility based in St Petersburg, FL. William Aage Nelson practices in St Petersburg, FL. The NPI Number for William Aage Nelson is 1699933085 and holds a License No. 65 (Florida).

The current practice location address for William Aage Nelson is 714 Jackson St N, St Petersburg, FL and can be reached out via phone at 727-895-4663.

Location: 714 Jackson St N, St Petersburg, FL, 33705-1337
person
Provider Profile Details
NPI Number
1699933085
Provider Name
William Aage Nelson
Credential
Provider Entity Type
Individual
Gender
Male
Address
714 Jackson St N, St Petersburg, FL, 33705-1337
Phone Number
727-895-4663
Fax Number
Provider Enumeration Date
06/02/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
141550600 05 FL
institution
Provider Business Practice Location Address Details
Address
714 Jackson St N
City
State
Zip
33705-1337
Phone Number
727-895-4663
Fax Number
person
Provider Business Mailing Address Details
Address
714 Jackson St N
City
State
Zip
33705-1337
Phone Number
727-895-4663
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
65 (Florida)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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